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Contract 45616-FP1
FORTWORTH. �� TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION D.O.E. Ns: 7134 @ �Icn.p Dill Sf Regarding contract 45616 f r WESTERN CENTER BLVD @ N RIVERSIDE DR. &FM 1187 as required by to TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 04/15/2014 through M&C C-26766&director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works Department bas accepted the project as complete. Original Contract Prices: $748,000.00 Amount of Approved Change Orders: $41,574.50'Ne 1 Revised Contract Amount: $789,574.50 Total Cost Work Completed: $781,568.58 Less Deductions: Liquidated Damages: Days @$210.00/Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $781,568.58 Less Previous Payments: $742,490.15 Final Payment Due $39,078.43 _ice i�is' Recommended for Acceptance Date Asst. irector, TPW - Infrastructure Design and Construction E Acce, Date ;� _' i r tor, TRAN ORTATION AND PUBLIC WORKS DEPARTMENT Asst. City Manager Date Comments: FUND ACCT: C204-541200-204390218283/ C295-541200-204710218283 OFFICIAL RECORD (hc- CITY SECRETARY �` FT- WORTHS Tit TPW Construction Invoice Contract: CS45616 P.O.# PO-15=86930;P0-14 83512 PnymentDate: '10130/2015 TO:Durable Specialties,Inc. INV.# C$45616-31 Estimate No. 31 DOE: 7134 1211 South Alexander Avenue ProjManager Lisette Acevedo Duncanville TX 75137 FOR: Western Center Blvd®NRiverside Dr&FM 1187 Q Hemphill FINAL DAv ACH Contract Amount: $789,574.50 Completed Ret A(tj Pay Total to Date: $781,568.58 $0.00 $0.00 $781,568.58 Previous Estimate: $781,568.58 $39,078.43 $0.00 $742,490.15 Earned to Date: 50.00 ($49,078.43) 50100 539,078.43 Payments: C204-541200=20430218M.. $503,000.00 - Total to Date: $503,000.00 $0.00 $0,00 $503,000.00 Previous Estimate: $503,000.00 $25,150.00 $0.00 $477,850.00 EamedtoDate: $0.00 ($25,150.00) $0.00 $25,150.00 C295-541200-20471021828.3 $286,574.50 -CO#2-$38,329.50,CO#1-$3,245.00 Total to Date: $278,568.58 $0.00 $0.00 $278,568.58 Previous Estimate: $278,568.58 $13,928.43 $0.00 $264,640.15 Earned to Date: $0.00 ($13,928.43) $0.00 $13,928.43 Transportation&Public Works BUSINESS SUPPORT GROUP Contact Person-BRANDY CRANE-Ext.2852 Department Approval Signature ror: KAREN STRIKER DEPARTMEr,h CHECK ACK-UP YES ❑ Monday,January 25,2016 Page 1 of 1 City Project Numbers 02182 DOE Number 7134 Contract Name WESTERN CENTER BLVD @ N RIVERSIDE DR&FM 1187 @ IAEMPH Estimate Number 31 Contract Limits Payment Number 31 Project Type PAVING For Period Ending 10/30/2015 Project Funding Project Manager AcevedoL City Secretary Contract Number 45616 Inspectors GREGORY / MILLER,TOM Contract Date 4/15/2014 Contractor DURABLE SPECIALTIES Contract Time 183 CD P O BOX 535969 Days Charged to Date 299 CD GRAND PRAIRIE, TX 75053 Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded Total Cost of Work Completed $781,568.58 _ Less %Retained $0.00 ' 1Y1'Sfi1 Net Earned $781,568.58 I aYla Ci' d �r-+-''� o. Earned This Period $39,078.43 . aAaawll e*S. anad Retainage This Period $0.00 . $1'Qtjte Il ! Less Liquidated Damages wlysteI Mani Scanned Q 0 Days @ $0.00 /Day $0.00 LessPavement Deficiency $0.00 ft"eding people have been Contacted concerning the rcqu4T i� pant&bei 1�g1S8+1�1 fills piptoF lh: bnl; Less Penalty $0.00 Less Previous Payment � y $742,490.15 o • lS"Ct►#u1 doted Ay.044 B4dq Plus Material on Hand Less 15% $0.00 Balance Due This Payment $39,078.43 Thursday,October 29,2015 Page 8 of 8 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name WESTERN CENTER BLVD @ N RIVERSIDE DR&FM 1187 @ HEMPML Contract Limits Project Type PAVING City Project Numbers 02182 DOE Number 7134 Estimate Number 31 Payment Number 31 For Period Ending 10/30/2015 CD City Secretary Contract Number 45616 Contract Time 181D Contract Date 4/15/2014 Days Charged to Date 299 Project Manager AcevedoL Contract is 99.000 Complete Contractor DURABLE SPECIALTIES P O BOX 535969 GRAND PRAIRIE, TX 75053 Inspectors GREGORY/ MILLER,TOM Thursday,October 29,2015 Page 1 of 8 City Project Numbers 02182 DOE Number 7134 Contract Name WESTERN CENTER BLVD Q N RIVERSIDE DR&FM 1187 Q HEMPH Estimate Number 31 Contract Limits Payment Number 31 Project Type PAVING For Period Ending 10/30/2015 Project Funding Unit I:Western Center Blvd.at N.Riverside Dr. Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 0241.0100 Remove Sidewalk 483 SF $10.00 $4,830.00 503 $5,030.00 2 0241.0300 Remove ADA Ramp 5 EA $700.00 $3,500.00 5 $3,500.00 3 0241.1000 Remove Conc Pvmt 343 SY $72.00 $24,696.00 340 $24,480.00 4 2605.0111 Fumish/Install Elec S 1 EA $4,000.00 $4,000.00 1 $4,000.00 5 2605.3015 2"CONDT PVC SCH 80(T 22 LF $9.00 $198.00 165 $1,485.00 6 2605.3025 3"CONDT PVC SCH 80(T 104 LF $10.00 $1,040.00 98 $980.00 7 2605.3026 3"CONDT PVC SCH 80(B 502 LF $20.00 $10,040.00 752 $15,040.00 8 3110.0101 Site Clearing 1 LS $6,800.00 $6,800.00 1 $6,800.00 9 3110.0103 12"-18"Tree Removal 2 EA $1,000.00 $2,000.00 2 $2,000.00 10 3123.0101 Unclassified Excavatio 370 CY $50.00 $18,500.00 370 $18,500.00 11 3124.0101 Embankment by Plan 10 CY $13.00 $130.00 10 $130.00 12 3211.0400 Lime(30lbs/SY) 387 SY $35.00 $13,545.00 387 $13,545.00 13 3213.0104 9"Cone Pvmt 351 SY $100.00 $35,100.00 351 $35,100.00 14 3213.0301 4"Conc Sidewalk 2047 SF $8.00 $16,376.00 2047 $16,376.00 15 3213.0505 Barrier Free Ramp,Typ 2 EA $2,075.00 $4,I50.00 2 $4,150.00 16 3213.0506 Barrier Free Ramp,Typ 3 EA $1,700.00 $5,100.00 3 $5,100.00 17 3213.0510 Barrier Free Ramp,Typ 3 EA $2,800.00 $8,400.00 3 $8,400.00 18 3214.0100 Brick Pvmt 203 SY $130.00 $26,390.00 203 $26,390.00 19 3217.0501 24"SLD Pvmt Marking H 1361 LF $10.00 $13,610.00 1361 $13,610.00 20 3217.2001 Raised Marker TY W 60 EA $7.00 $420.00 60 $420.00 21 3217.2104 REFL Raised Marker TY 17 EA $7.00 $119.00 17 $119.00 22 3217.4306 Remove 24"Pvmt Markin 248 LF $4.00 $992.00 248 $992.00 23 3217.4307 Remove Raised Marker 37 EA $1.00 $37.00 37 $37.00 24 3291.0100 6"Topsoil 118 CY $45.00 $5,310.00 132 $5,940.00 25 3292.0100 Block Sod Placement 708 SY $10.00 $7,080.00 802 $8,020.00 26 3305.0106 Manhole Adjustment,Ma 1 EA $1,500.00 $1,500.00 3 $4,500.00 27 3305.0111 Valve Box Adjustment 4 EA $300.00 $1,200.00 1 $300.00 28 3441.1001 3-Sect Signal Head Ass 9 EA $950.00 $8,550.00 9 $8,550.00 29 3441.1002 4-Sect Signal Head Ass 4 EA $1,250.00 $5,000.00 4 $5,000.00 30 3441.1011 Ped Signal Head Assmbl 8 EA $600.00 $4,800.00 8 $4,800.00 31 3441.1031 Audible Ped Pushbutton 8 EA $1,000.00 $8,000.00 8 $8,000.00 Thursday,October 29,2015 Page 2 of 8 City Project Numbers 02182 DOE Number 7134 Contract Name WESTERN CENTER BLVD @ N RIVERSIDE DR&FM 1187 @ HEMPH Estimate Number 31 Contract Limits Payment Number 31 Project Type PAVING For Period Ending 10/30/2015 Project Funding 32 3441.1209 Fumish/install BBU Sy 1 EA $6,000.00 $6,000.00 1 $6,000.00 33 3441.1220 Fumish/Install Model 4 EA $1,800.00 $7,200.00 4 $7,200.00 34 3441.1224 Furnish/Install Preemp 751 LF $1.00 $751.00 802 $802.00 35 3441.1226 Fumish/Install Radar 4 EA $5,500.00 $22,000.00 4 $22,000.00 36 3441.1230 Furnish/Install Radar 900 LF $3.00 $2,700.00 900 $2,700.00 37 3441.1230 Furnish/Install Radar 751 LF $3.00 $2,253.00 698 $2,094.00 38 3441.1232 Furnish/Install Radar 1 EA $3,000.00 $3,000.00 1 $3,000.00 39 3441.1309 21C 12 AWG Multi-Condu 56 LF $1.00 $56.00 56 $56.00 40 3441.1311 5/C 14 AWG Multi-Condu 495 LF $1.00 $495.00 515 $515.00 41 3441.1312 7/C 14 AWG Multi-Condu 220 LF $1.00 $220.00 313 $313.00 42 3441.1315 20/C 14 AWG Multi-Cond 671 LF $3.00 $2,013.00 638 $1,914.00 43 3441.1408 NO 6Insulated Elec Co 54 LF $2.00 $108.00 340 $680.00 44 3441.1409 NO 8 Insulated Elec Co 1282 LF $1.00 $1,282.00 1220 $1,220.00 45 3441.1413 NO 6 Bare Elec Condr S 27 LF $2.00 $54.00 170 $340.00 46 3441.1414 NO 8 Bare Elec Condr 613 LF $1.00 $613.00 600 $600.00 47 3441.1501 Ground Box Type B 1 EA $620.00 $620.00 2 $1,240.00 48 3441.1503 Ground Box,Type D,w/ 5 EA $750.00 $3,750.00 4 $3,000.00 49 3441.1613 Furnish/Install Type 4 1 EA $4,000.00 $4,000.00 1 $4,000.00 50 3441.1615 Furnish/Install Type 4 3 EA $5,500.00 $16,500.00 3 $16,500.00 51 3441.1624 Fumish/install Mast A 1 EA $2,700.00 $2,700.00 1 $2,700.00 52 3441.1625 Fumish/install Mast A 3 EA $3,300.00 $9,900.00 3 $9,900.00 53 3441.1704 TY 4 Signal Foundation 1 EA $2,800.00 $2,800.00 1 $2,800.00 54 3441.1705 TY 5 Signal Foundation 3 EA $3,000.00 $9,000.00 3 $9,000.00 55 3441.1711 Signal Controller Foun 1 EA $2,300.00 $2,300.00 1 $2,300.00 56 3441.1724 Install Controller&C 1 EA $6,500.00 $6,500.00 1 $6,500.00 57 3441.2001 Salvage Traffic Signal 1 EA $3,000.00 $3,000.00 1 $3,000.00 58 3441.3102 20OW BPS PC Lighting F 4 EA $350.00 $1,400.00 4 $1,400.00 59 3441.4001 Furnish/Install Alum S 4 EA $200.00 $800.00 4 $800.00 60 3441.4003 Furnish/Install Alum S 3 EA $500.00 $1,500.00 3 $1,500.00 61 3441.4005 Install Alum Sign Mast 4 EA $100.00 $400.00 4 $400.00 62 3471.0001 Tmffrc Control 6 MO $4,000.00 $24,000.00 6 $24,000.00 63 9999.0005 Monolithic Median Nose 328 SF $10.00 $3,280.00 328 $3,280.00 64 9999.0010 Utility Adjustment All 5000 DO $1.00 $5,000.00 12402.39 $12,402.39 65 9999.0015 Construction Allowance 10000 DO $1.00 $10,000.00 Thursday,October 29,2015 Page 3 of 8 City Project Numbers 02182 DOE Number 7134 Contract Name WESTERN CENTER BLVD @ N RIVERSIDE DR&FM 1187 @ HEMPH Estimate Number 31 Contract Limits Payment Number 31 Project Type PAVING For Period Ending 10/30/2015 Project Funding --------------------------------------- Sub-Total of Previous Unit $397,608.00 $405,450.39 Unit It:Farm to Market 1187 at Hemphill St. Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 66 Remove Sidewalk 78 SF $10.00 $780.00 78 $780.00 67 Remove Conc Pavement 111 SY $70.00 $7,770.00 111 $7,770.00 68 Remove Curb&Gutter 290 LF $10.00 $2,900.00 290 $2,900.00 69 Remove Sign w/Sign Post 9 EA $160.00 $1,440.00 9 $1,440.00 70 Remove 4"Pavement Marking 114 LF $1.00 $114.00 114 $114.00 71 Remove 24"Pavement Marking 100 LF $3.00 $300.00 100 $300.00 72 Remove Raised Marker 12 EA $1.00 $12.00 12 $12.00 73 Remove Lane Legend Arrow 1 EA $60.00 $60.00 1 $60.00 74 Remove Lane Legend Only 1 EA $60.00 $60.00 1 $60.00 75 Excavation(Roadway) 106 CY $60.00 $6,360.00 106 $6,360.00 76 Fumisb/Install Elec Sery Pedestal 1 EA $4,000.00 $4,000.00 1 $4,000.00 77 2"CONDT RM(Riser) 20 LF $12.00 $240.00 20 $240.00 78 2"CONDT PVC SCH 80 M 135 LF $9.00 $1,215.00 135 $1,215.00 79 3"CONDT PVC SCH 80(T) 522 LF $10.00 $5,220.00 522 $5,220.00 80 3"CONDT PVC SCH 80(B) 808 LF $20.00 $16,160.00 808 $16,160.00 81 8"Flexible Base,Type A,GR 2 184 SY $40.00 $7,360.00 184 $7,360.00 82 8"Concrete Pavement 184 SY $145.00 $26,680.00 184 $26,680.00 83 4"Concrete Sidewalk 1001 SF $8.00 $8,008.00 1001 $8,008.00 84 Block Sod Placement 350 SY $5.00 $1,750.00 4.67 $23.35 85 Type 6 Curb Ramp 1 EA $2,300.00 $2,300.00 1 $2,300.00 86 Type 7 Curb Ramp 7 EA $2,000.00 $14,000.00 7 $14,000.00 87 Type 11 Curb 125 LF $9.00 $1,125.00 125 $1,125.00 88 4"SLD Pvmt Marking HAS(Y) 109 LF $2.00 $218.00 109 $218.00 89 4"SLD Pvmt Marking HAS(Vi) 40 LF $2.00 $80.00 90 8"SLD Pvmt Marling HAS(W) 200 LF $2.00 $400.00 200 $400.00 91 12"SLD Pvmt Marking HAE(W) 533 LF $5.00 $2,665.00 533 $2,665.00 92 24"SLD Pvmt Marking HAE(W) 196 LF $10.00 $1,960.00 196 $1,960.00 93 Lane Legend Arrow 1 EA $285.00 $285.00 3 $855.00 94 Lane Legend Only 1 EA $285.00 $285.00 3 $855.00 Thursday,October 29,2015 Page 4 of 8 City Project Numbers 02182 DOE Number 7134 Contract Name WESTERN CENTER BLVD @ N RIVERSIDE DR&FM 1187 @ HEMPH Estimate Number 31 Contract Limits Payment Number 31 Project Type PAVING For Period Ending 10/30/2015 Project Funding 95 Lane Legend Sharrow 2 EA $250.00 $500.00 2 $500.00 96 REFL Raised Marker TY H-C-R 2 EA $200.00 $400.00 97 3-Sect Signal Head Assmbly 14 EA $950.00 $13,300.00 14 $13,300.00 98 4-Sect Signal Head Assmbly 2 EA $1,250.00 $2,500.00 2 $2,500.00 99 Ped Signal Head Assmbly 8 EA $600.00 $4,800.00 8 $4,800.00 100 Audible Ped Pushbutton Station 8 EA $1,000.00 $8,000.00 8 $8,000.00 101 Furnish/Install Model 711 Preempt De 6 EA $1,800.00 $10,800.00 6 $10,800.00 102 Furnish/Install Preempt Cable 1795 LF $1.00 $1,795.00 1795 $1,795.00 103 Furnish/Install Presence Radar Detee 6 EA $5,500.00 $33,000.00 6 $33,000.00 104 Furnish/Install Advance Radar Detect 2 EA $5,500.00 $11,000.00 2 $11,000.00 105 Furnish/Install Radar Cable 2225 LF $3.00 $6,675.00 2225 $6,675.00 106 Furnish/Install Radar Detector Backp 2 EA $3,000.00 $6,000.00 2 $6,000.00 107 4/C 14 AWG Multi-Conductor Cable 120 LF $1.00 $120.00 120 $120.00 108 6/C 14 AWG Multi-Conductor Cable 627 LF $1.00 $627.00 627 $627.00 109 8/C 14 AWG Multi-Conductor Cable 1508 LF $2.00 $3,016.00 1508 $3,016.00 110 20/C 14 AWG Multi-Conductor Cable 1478 LF $3.00 $4,434.00 1478 $4,434.00 III NO 6Insulated Elec Condr 290 LF $2.00 $580.00 435 $870.00 112 NO 8 Insulated Elec Condr 2400 LF $1.00 $2,400.00 2400 $2,400.00 113 NO 8 Bare Elec Condr 1290 LF $1.00 $1,290.00 1175 $1,175.00 114 Ground Box,Type B,w/Apron 1 EA $740.00 $740.00 1 $740.00 115 Ground Box,Type D,w/Apron 8 EA $750.00 $6,000.00 8 $6,000.00 116 Furnish/lnstall 10'-14'Ped Pole A 4 EA $800.00 $3,200.00 4 $3,200.00 117 Furnish/Install Type 41 Signal Pole 2 EA $2,300.00 $4,600.00 2 $4,600.00 118 Furnish/Install Type 43 Signal Pole 3 EA $4,000.00 $12,000.00 3 $12,000.00 119 Furnish/fmtall Type 45 Signal Pole I EA $5,500.00 $5,500.00 1 $5,500.00 120 Furnish/Install Mast Arm 16'-36' 2 EA $2,500.00 $5,000.00 2 $5,000.00 121 Furnish/Install Mast Ann 40'-48' 3 EA $2,700.00 $8,100.00 3 $8,100.00 122 Furnish/Install Mast Ann 52'-60' 1 EA $3,300.00 $3,300.00 1 $3,300.00 123 TY 1 Signal Foundation 4 EA $901.00 $3,604.00 4 $3,604.00 124 TY 3 Signal Foundation 2 EA $2,500.00 $5,000.00 2 $5,000.00 125 TY 4 Signal Foundation 3 EA $2,800.00 $8,400.00 3 $8,400.00 126 TY 5 Signal Foundation 1 EA $3,000.00 $3,000.00 1 $3,000.00 127 Signal Controller Foundation I EA $2,300.00 $2,300.00 1 $2,300.00 128 Install Controller&Cabinet,Ground I EA $6,500.00 $6,500.00 1 $6,500.00 Thursday,October 29,2015 Page 5 of 8 City Project Numbers 02182 DOE Number 7134 Contract Name WESTERN CENTER BLVD @N RIVERSIDE DR&FM 1187 @ HEMPH Estimate Number 31 Contract Limits Payment Number 31 Project Type PAVING For Period Ending 10/30/2015 Project Funding 129 20OW BPS PC Lighting Fixture 6 EA $350.00 $2,100.00 6 $2,100.00 130 Install Lighting Fixture 6 EA $100.00 $600.00 6 $600.00 131 Furnish/Install Alum Sign Mast Arm M 2 EA $200.00 $400.00 2 $400.00 132 Furnish/Install Alum Sign Ground Mon 20 EA $725.00 $14,500.00 20 $14,500.00 133 Install Alum Sign Mast Arm Mount 6 EA $100.00 $600.00 6 $600.00 134 Traffic Control 1 LS $14,964.00 $14,964.00 1 $14,964.00 135 9999.0010 Utility Adjustment All 5000 DO $1.00 $5,000.00 1082.84 $1,082.84 136 9999.0015 Construction Allowance 10000 DO $1.00 $10,000.00 137 TEMPORARY REPAIRS TO STORM DRAINPIPE 1 LS $3,245.00 $3,245.00 1 $3,245.00 CO#1 138 Remove 21"RCP(CO#2) 30 LF $55.00 $1,650.00 30 $1,650.00 139 Remove 10"Recessed Inlet(CO#2) 1 EA $1,650.00 $1,650.00 1 $1,650.00 140 Plug 21"Storm Drain(CO#2) 2 EA $825.00 $1,650.00 2 $1,650.00 141 Seeding Soil Retention Blanket(Curlex)(CO#2) 315 SY $3.30 $1,039.50 142 21"RCP Class III(CO#2) 130 LF $143.00 $18,590.00 130 $18,590.00 143 10'Recessed Inlet(CO#2) 1 EA $6,050.00 $6,050.00 1 $6,050.00 144 Traffic Control(CO#2) 1 MO $1,375.00 $1,375.00 1 $1,375.00 145 Remove Temp Drainage Repair&Backfill(CO#2) 1 LS $550.00 $550.00 1 $550.00 146 Repair Existing Inlet(CO#2) 1 EA $2,475.00 $2,475.00 1 $2,475.00 147 De-Hole Existing Utilities(CO#2) 1 LS $3,300.00 $3,300.00 1 $3,300.00 -------------------------------------- Sub-Total of Previous Unit $391,966.50 $376,118.19 -------------------------------------- Thursday,October 29,2015 Page 6 of 8 City Project Numbers 02182 DOE Number 7134 Contract Name WESTERN CENTER BLVD @ N RIVERSIDE DR&FM 1187 @ HEMPH Estimate Number 31 Contract Limits Payment Number 31 Project Type PAVING For Period Ending 10/30/2015 Project Funding Contract Information Summary Original Contract Amount $748,000.00 Chanae Orders Change Order Number 1 $3,245.00 Change Order Number 2 $38,329.50 Total Contract Price $789,574.50 C� Date Total Cost of Work Completed $781,568.58 Less %Retained $0.00 Net Earned $781,568.58 ate Inspection SEarned This Period $39,078.43 / Retainage This Period $0.00 Sup icor C,—d ate` � Less Liquidated Damages Project Days @ /Day $0.00 Date f LessPavement Deficiency $0.00 Asst. i ctor/I'PW-Infrastructure Design antruction Less Penalty $0.00 Date 1 Less Previous Payment $742,490.15 U j Dire a g Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $39,078.43 i Thursday,October 29,2015 Page 7 of 8 3/20/2016 BuySpeed Online r TAA Online Accounts Payable Basic Purchasing Department Access NIGP Code Browse I My Account I Customer Service I About Current Organization:CITY OF FORT WORTH March 20,20161:36:3D PM CDT Yyy ® 4# X Home Documents Brandy Crane Invoice#: GS45616-FINAL Vendor#-:0000013426 Vendor Group#:01 Status:41R-Ready for Approval i General Items Subcontractors Accounts Routing Attachments Notes Reminder Change Order Summary Back to PO General Validation Warnings You are going to final pay the following partially paid po items:[2,3,41. Header information Invoice Number: C845516-FINAL Invoice Status: 4111-Ready for Invoice Type: 3 way Approval matching Invoice Description: CS45616-FINAL Western Center Blvd at N Riverside Dr&FM1187 @ Invoice Date: 10/30/2015 Effect Date: 03/20/2016 Hemphill Payment Amount: $39,078.43 Handling Code: ACH(DIRECT Payment Date 11/24/2015 DEPOSIT) Payment Terms: Payment Term Day: o Payment 0.0% Discount: I Paid-BanklCheck: Alternate Id. Entered By: Brandy crane Entered Date: 03/20/2016 I Updated By: Brandy Crane Updated Date: 03120/2016 Received Date: 08/20/2015 01:33:00 PM Attachments i Agency Files: Agency Forms.- Vendor orms:Vendor Files: Vendor Forms: Purchase Order Information Purchase order PO-15-00086930 PO Description CS46616 Number: i PO Amount: $292,436.66 Remaining To $6,005.91 Buyer: Brandy Invoice: Crane PoVendor Information Vendor: 0000013426-DURABLE SPECIALTIES INC Address Grp: 01 Vendor Remit-to ACH REMIT ! Address: PO BOX 535969 GRAND PRAIRIE,TX 75053 USA Fed ID: *~3459 Remit Text: Emat:ACOUNTING@DURABLESPECIALTIES.COM Phone:(000)000-0000 Id:30423 (EFT Enabled) Misc&Freight Invoice Account Event Type Fiscal Year Account Code Transaction Amount Misc 16 39407--2060000--CO2182-CRETAN-- $24,987.75 Miso 16 39001-.2060000--CO2182-CRETAN-- $14,090.68 Misc 16 39001-0200431-5740010--CO2182-C03983-- -$0.01 Total: $39,078.42 Item Information Invoice Item#IPO Item#:2 Western Center Blvd at N Riverside Dr C295-541200-204710218283 C945616 M&C:C-26766 Date:041514 Original PO.14-83512 PO Permit Invoice Discount% Original Final Item Status To Pay Amount Pay Amount Pay 3PPR-Partial Receipt $0.00 $0.00 0.0% $0.00 Yes' MAKE: ASSET MODEL: ASSET_MANUF: ASSET SERIAL: https://bso.fortworthtexas.gov/bso/purchaseorderfiinvoicefinvoiceSummarysdo?vendorld=0000013426&docld=PO-1&00086930&releaseN br=0&doGType=1&ma.. 1/2 3/20/2016 BuySpeed Online ASSET VIN: ASSET TAG: Event Type Fiscal Year Account Code Transaction Amount Exp. 16 39001-0200431-5740010--CO2182-C07183-- $0.00 Ena 16 39001-0200431-5740010--CO2182-007183-- $0.00 Invoice Item#/PO Item#:3 CO#1-$3,245.00-Western Center Blvd at N Riverside Dr C295-541200-204390218283 C545616 Po Permit Invoice Discount% Original Final Item Status To Pay Amount Pay Amount Pay i 3PPR-Partial Receipt $0.00 $0.01 0.0% $0.00 Yes MAKE: J ASSET MODEL: ASSET_MANUF: ASSET—SERIAL: ASSET VIN: _ I ASSET TAG: Event Type Fiscal Year Account Code Transaction Amount Exp. 16 39001-0200431-5740010--CO2182-C03983-- $0.01 Enc. 16 39001-0200431-5740010--CO2182-C03983-- -$0.01 Invoice Item#1130 Item#:4 CO#2-$38,329.50-Western Center Blvd at N Riverside Dr C295-541200-204390218283 CS45616 PO Permit Invoice Discount% - Original Final Item Status To Pay Amount Pay Amount Pay 3PPR-Partial Receipt $0.00 $0.00 0.0°% $0.00 Yes MAKE: ASSET MODEL: ASSET MANUF: ASSET SERIAL: ASSET VIN: ASSET TAG: Event Type Fiscal Year Account Code TransactloriAmount Exp. 16 39001-0200431-5740010--CO2182-CO3983-- $0.00 Ena 16 39001-0200431-5740010--CO2182-CO3983-- $0.00 Approval Path: Delete Approver Order Approval Level Approver Date Date Approved/Disapproved/Canceled Comment Sequence Path Type Requested Approved/Disapproved/Canceled by View ID Add New l I Primary Add/Delete Approver Print Copyright©2016 Periscope Holdings,Ina-Ail Rights Reserved.default I https://bso.fortworthtexas.gov/bsotpurchaseorderfinvoice/i nvoiceSummary.sdo?vendorld=0000013426&docld=PO-15-00086930&reieaseNbr=O&docType=1&ma.. 212 c a� E c co 0- (0 w u� ao o cYi - ti c6 N 00 It M v of N r- Cf) t � z z z I¢— FQ- F-- w w w w C� cj� U U U ;. N N N W 00 00 O O O C) U U f . 0 0 0 0 0 0 0 o O 0 0 0 0 0 0 N N N � r t- O O O 0) � a M C7 M CONTRACTOR'S AFFIDAVIT OF BILLS PAID STATE OF TEXAS COUNTY OF TARRANT Personally, before me the undersigned authority, on this day appeared, Jennifer Warnack who,being duly sworn on oath, says that he is a legal representative of DURABLE SPECIALTIES,INC. and that the contract for the construction of the project, designated as NORTH RIVERSIDE DRIVE AT WESTERN CENTER/FM 1187 AT HEMPHILL has been satisfactorily completed and that all bills for materials, apparatus, fixtures,machinery and labor used in connection with the construction of this project have,to the best of my knowledge and belief,been fully paid. i'--Cna e C� Title Sworn to and subscribed before me this day of 2015. Notary Public in and for Ta ounty, Texas 01 N� A •. F��F TEXP. 10, • '•'rp/RES �� 20 A3 G'ONRENT OF SURETY O%VNFR ❑ TO FINAL PAYMENT ARMTECT ° AIADoamvnt G707 CONTRACTOR SURU'YX7 Bond No. 3375803 OTHI?.R El T4 OVNM- ARCHI`I`RCT's PROJECT NO.; (r9arne eurrl addmc�) City of Fort Worth,Texas CONTRACTFOR.-Traffic Signalsand Other Misc Items PROJECT, CONTRACT DATED,April 15,2014 (M)neandaddrwo North Riverside Drive at Western Center/FM 1187 at Hemphill In accordance with the provisions afthe Contract between the Owner and the Contractor as indicated above,the fJrasertnarnrand addr�srafsrn�ryy Great American Insurance Company of New York 301 E. Fourth Street Cincinnati OH 45202 SURRTI(, on bond of flaaerr narneand addivugfConlraaar) Durable Specialties, Inc. P.O. Box 535969 Grand Prairie TX 75050 CONTRACTOR, hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shall not relieve the Surety of any of its abligatlons to (Irxwfrt rrarrtLund acJdrecrc�Pthraery City of Fort Worth, Texas ,. OWNER, as set forth In said Surety s bond. TNVATNFSS W I31110F,the S'ur'ety has hereunto set its hand on this date: October 30, 2015 (frrsurY firuvilbrgtlaeraon&joltouMlhr=tfxsnrunmicdsteantl��art Great American Insurance Compan w York By: ' fSYgrr urNbor�zedrrpr�nlatir+r) Attest Jack M. Crowley Attorney-in-Fact {sear tPr9uled rraTne arrd tfla) Surety Phone No. 513-369-5000 G707-1994 GREAT AMERICAN INSURANCE COMPANY OF NEW YORK New York Administrative Office:301 E 4TH STREET - CINCINNATI,OHIO 45202 - 513-369-5000 - FAX 513-723-2740 The number of persons authorized by this power of attorney is not more than FOUR No.0 19950 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the GREAT AMERICAN INSURANCE COMPANY OF NEW YORK,a corporation organized and existing under and by virtue of the laws of the State of New York,does hereby nominate,constitute and appoint the person or persons named below its true and lawful attorney-in-fact,for it and in its name,place and stead to execute on behalf of the said Company,as surety,any and all bonds,undertakings and contracts of suretyship,or other written obligations in the nature thereof;provided that the liability of the said Company on any such bond,undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below. Name Address Limit of Power JACK M.CROWLEY PATRICIA A.SMITH ALL OF ALL STEVEN R.FOSTER MARIE PERRYMAN ADDISON, $75,000,000.00 TEXAS This Power of Attorney revokes all previous powers issued on behalf of the attorney(s)-in-fact named above. IN WITNESS WHEREOF,the GREATAMERICAN INSURANCE COMPANYOF NEW YORK has caused these presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this 29TH day of NOVEMBER , 2012 Attest GREAT AMERICAN INSURANCE COMPANY OF NEW YORK ff SEAL Assistant Secretary Divisional Senior Tice President DAVID C.KITCHIN(877-377-2405)- STATE OF OHIO,COUNTY OF HAMILTON-ss: On this 29TH day of NOVEMBER 2012 ,before me personally appeared DAVID C.KITCHIN,tome known, being duly sworn,deposes and says that he resides in Cincinnati,Ohio,that he is a Divisional Senior Vice President of the Bond Division of GreatAmerican Insurance Company-of New York,the Company described in and which executed the above instrument; that he knows the seal;that it was so affixed by authority of his office under the By-Laws of said Company, and that he signed his name thereto by like authority. KAREN.L.OROSHEIM NOTARY PUBLIC,STATE OF OHIO MY COMMISS(ON EXPIRES 02.20.16 This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company of New York by unanimous written consent dated May 14,2009. RESOLVED.That the Divisional President,the several Divisional Senior Vice Presidents,Divisional Vice Presidents and Divisional Assistant Vice Presidents,or any one of them,be and hereby is authorized,from time to time,to appoint one or more Attorneys-in-Fact to execute on behalf of the Company,as surety,any and all bonds,undertakings and contracts ofsuretyship,or other written obligations in the nature thereof,•to prescribe their respective duties and the respective limits of their authority;and to revoke any such appointment at any time. RESOLVED FURTHER:That the Company seat and the signature of any of the aforesaid officers and any Secretary or Assistant Secretary of the Company may be affixed by facsimile to any power of attorney or certificate of either given for the execution of any bond, undertaking,contract of suretyship,or other written obligation in the nature thereof,such signature and seal when so used being hereby adopted by the Company as the original signature of such officer and the original seal of the Company,to be valid and binding upon the Company with the same force and effect as though manually affixed. CERTIFICATION 1,STEPHEN C.BERAHA,Assistant Secretary of Great American Insurance Company of New York,do hereby certify that the foregoing Power of Attorney and the Resolutions of the Board of Directors of May 14, 2009 have not been revoked and are now in full force and effect. Signed and sealed this 30t4jay of October , 2015 aue a SEAL � • A.v.ristani Secretary S11851(4/11) Miller, Thomas W. From: Acevedo, Lissette Sent: Friday,October 02,2015 2:33 PM To: Miller,Thomas W. Subject: FW:02182 -Change Order Thomas Please below regarding any extension of days on N Riverside at Western Center Lissette Acevedo, PE,PTOE Sr.Professional Engineer Transportation and Public Works 817-392-2722 lissette.acevedo@fortworthtexas.gov City of Fort Worth—Working together to build a strong community FORT WORTH,. Follow Fort Worth From: Estes,William Todd Sent: Friday, October 02, 2015 11:29 AM To, Acevedo, Lissette Subject: 02182- Change Order Lissette, Since the project budget was not adversely impacted and the City does not desire to collect liquidated damages due to a longer than expected schedule,the City waives any liquidated damages that may be incurred by the contractor without extending the completion deadline through change order. The City acknowledges that multiple parties hold responsibility in regard to the extended completion timeline and that no one entity can be accurately recognized as the owner of delays that impacted the delivery schedule. As such,the City will not process any change orders for time extensions only,and the City will not pursue collection of any liquidated damages. W. Todd Estes, P.E. Engineering Manager Transportation and Public Works Department 1000 Throckmorton Street Office Phone: (817)392-5448 Cell Phone: (817)992-8093 William.Estes@fortworthtexas.gov How am I doing? Please feel free to contact my supervisor:Andy.Anderson@fortworthtexas.gov City of Fort Worth—Working together to build a strong community. FORT WORTHS z FORTWORTHREV:02`22'07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY . 1)PROJECT INFORMATION Date: 10/28/2015 Name of Contractor Project Name Durable Specialties Western Center Blvd.at N.Roverside Dr.&FM1187 at Hem DOE Inspector Project Manager Thomas Miller Lissette Acevedo DOE Number Prajecl Difficulty Type of Contract 7134 Q Simple © Routine Q Complex ❑ Water❑ Waste Water❑ Storm Drainage❑ Pavement Initial Contract Amount Final Contract Amount $748,000.00 $789,574.50 Il)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3-Good 4-Excellent ELEMENT RATING ELEMENT RATING (0-4) (0-4) INSPECTION EVALUATION — PLANS&SPECIFICATIONS 1 Availability of Inspector e h 1 Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector 2 Clarity&Sufficiency of Details 3 Accuracy of Measured Quantities Ll 3 Applicability of Specifications 4 Display Of Professionalism 4 Accuracy of Plan Quantities 5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availability of Project Manager 1 Change Order Processing Time 13 Communication 2 Timliness of Contractor Payments 14 Resolution of Utility Conflicts 3 Bid Opening to Pre-Con Meeting Titneframe III)COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector Signature DOE Inspector's Superisor INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Throckrnorton Street•Fort Worth,TX 76012-6311 Q9 (817)392-7941 •Fax:(817)392-7845 FORTWORTHREV:02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR 1) CONTRACTOR&PROJECT DATA Name of Contractor Project Name Durable Specialties Western Center Blvd.at N.Roverside Dr.&FM1187 at Hem DOE Inspector DOE Number Thomas Miller 7134 DOE Inspector Project Manager ❑ Water❑ Waste Water❑ Storm Drainage❑✓ Pavement Lissette Acevedo Initial Contract Amount Project Difficulty $748,000.00 O Simple QQ Routine Q Complex Final Contract Amount Date $789,574.50 10/28/2015 Ili PERFORMANCE EVALUATION 0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT(x) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE 1 Submission of Documents 2 Y 3 8 6 2 Public Notifications 5 Y 3 20 15 3 Plans on Site 5 Y 3 20 15 4 Field Supervision 15 Y 3 60 45 5 Work Performed 15 Y 3 60 45 6 Finished Product 15 Y 3 60 45 7 Job Site Safety 15 Y 3 60 45 8 Traffic Control Maintenance 15 Y 3 60 45 9 Daily Clean Up 5 Y 3 20 15 10 Citizen's Complaint Resolution 5 Y 3 20 15 11 Property Restoration 5 Y 3 20 15 12 After Hours Response 5 Y 3 20 15 13 Project Completion 5 Y 2 20 10 TOTAL ELEMENT SCORE(A) 331 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 331 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating(ITS/MS]*100%) 331 ! 448 = 74% Performance Category Good <20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >_80%=Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Signature DOE Inspector Signature Contractor 177 Signature DOE Inspector's Supervt or 64 CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 FORTWORTH rev 03/05/07 TRANSPORTATION&PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:31 NAME OF PROJECT: Western Center Blvd.at N.Roverside Dr.&FM1187 at Hemphill St.Intersection Improvements PROJECT NO.: 02182 CONTRACTOR: Durable Specialties DOE NO.: 7134 PERIOD FROM 07/28/14 TO: 10/15/15 FINAL INSPECTION DATE: 20-Aug-15 WORK ORDER EFFECTIVE: CONTRACT TIME: 180+3=183 QQ W D CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH DURING NG CREDITED MONTH CHARGED DURING CREDITED 1. 16. 2. 17. 3. 18. 4. 19. 5. 20. 6. 21. 7. 22. 8. 23. 9. 24. 10. 25. 11. 26. 12. 27, 13. 28. 14. 29. 15. 30. 31. SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL &HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS THIS 0 PERIOD PREVIOUS 299 PERIOD TOTALS TO DATE 299 *REMARKS: Liquidated damma ed waived by city.See email from Todd Estes,dated 10-2-15. C d Z . , -- ON COR DATE lftPECTOr DATE ENGINEERING DEPARTMENT C) The City of Fort Worth-1000 Throckmorton Street-Fort Worth,TX 76012-6311 (817)392-7941 -Fax:(817)392-7845